Healthcare Provider Details

I. General information

NPI: 1134056831
Provider Name (Legal Business Name): HANIA SANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11375 CORTEZ BLVD
BROOKSVILLE FL
34613
US

IV. Provider business mailing address

11375 CORTEZ BLVD, BROOKSVILLE
BROOKSVILLE FL
34613
US

V. Phone/Fax

Practice location:
  • Phone: 352-592-2753
  • Fax: 352-597-6173
Mailing address:
  • Phone: 352-592-2753
  • Fax: 352-597-6173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: